JAN VANDER LUITGAREN


Address: 5897 Shallow Water Ln, Bargersville, IN 46106-8521
Phone: 3174100319

JAN VANDER LUITGAREN (NPI# 1427409135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427409135
Entity Type Individual
Full Name JAN VANDER LUITGAREN
Credential RN
Practice Address 5897 Shallow Water Ln
Bargersville
IN 46106-8521
Practice Telephone 3174100319
Mailing Telephone 3174100319
Enumeration Date 2016-06-23
Last Update Date 2016-06-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WN1003X Registered Nurse
Specialization: Nutrition Support
28133402A IN Nursing Service Providers

Office Location

Street Address 5897 SHALLOW WATER LN
City BARGERSVILLE
State IN
Zip Code 46106-8521

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1518926476 Ronald J Beebe Psychologist 3170 Autumn Run, Bargersville, IN 46106-8369 2006-03-20
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1851768972 Randall Henderson Private Vehicle 5508 Washington Ave, Bargersville, IN 46106-8538 2015-08-24
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Taxonomy Information

Taxonomy Code 163WN1003X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Nutrition Support

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861578072 Marion General Hospital Registered Nurse 441 N Wabash Ave, Marion, IN 46952-2612 2006-10-31

Competitor

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City BARGERSVILLE
Zip Code 46106

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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